Deficiency Records for Jacob's Creek Nursing and Rehabilitation Center
Updated as of June 01, 2022
This is not the most recent data for Jacob's Creek Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Jacob's Creek Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-08 | 2022-03-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-01-11 | 2022-02-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-01-11 | 2022-02-11 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-01-11 | 2022-02-11 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-01-11 | 2022-02-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-01-11 | 2022-02-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-11 | 2022-02-11 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-11 | 2022-02-11 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-01-11 | 2022-02-11 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2022-01-11 | 2022-02-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-01-08 | 2021-01-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-03-12 | 2020-04-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-12 | 2020-04-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-03-12 | 2020-04-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-12 | 2020-04-09 | N |
| Provide appropriate foot care. | Health | 2020-03-12 | 2020-04-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-12 | 2020-04-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-03-12 | 2020-04-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-03-12 | 2020-04-09 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-28 | 2019-04-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-28 | 2019-04-25 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-28 | 2019-04-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-28 | 2019-04-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-04-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-28 | 2019-04-25 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-03-28 | 2019-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-04-25 | N |
